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1790287373
BRYAN JOEL MUCHORTOW
ROYAL OAK, MI
NPI
1790287373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018090)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
BRYAN JOEL MUCHORTOW DPT
4949 COOLIDGE HWY
ROYAL OAK, MI 48073-1026
Phone number: 248-655-5700
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Mailing Address
BRYAN JOEL MUCHORTOW DPT
1553 MERRICK ST
DETROIT, MI 48208-1713
Phone number: 586-242-7033
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